RT Journal Article SR Electronic T1 Recording COVID-19 consultations: review of symptoms, risk factors, and proposed SNOMED CT terms JF BJGP Open JO BJGP Open FD Royal College of General Practitioners SP bjgpopen20X101125 DO 10.3399/bjgpopen20X101125 A1 Bhautesh Dinesh Jani A1 Jill P Pell A1 Dylan McGagh A1 Harshana Liyanage A1 Dave Kelly A1 Simon de Lusignan A1 Christopher J Weatherburn A1 Ronnie Burns A1 Frank M Sullivan A1 Frances S Mair YR 2020 UL http://bjgpopen.org/content/early/2020/08/23/bjgpopen20X101125.abstract AB Background There is an urgent need for epidemiological research in primary care to develop risk assessment processes for patients presenting with COVID-19, but lack of a standardised approach to data collection is a significant barrier to implementation.Aim To collate a list of relevant symptoms, assessment items, demographics, and lifestyle and health conditions associated with COVID-19, and match these data items with corresponding SNOMED CT clinical terms to support the development and implementation of consultation templates.Design & setting Published and preprint literature for systematic reviews, meta-analyses, and clinical guidelines describing the symptoms, assessment items, demographics, and/or lifestyle and health conditions associated with COVID-19 and its complications were reviewed. Corresponding clinical concepts from SNOMED CT, a widely used structured clinical vocabulary for electronic primary care health records, were identified.Method Guidelines and published and unpublished reviews (N = 61) were utilised to collate a list of relevant data items for COVID-19 consultations. The NHS Digital SNOMED CT Browser was used to identify concept and descriptive identifiers. Key implementation challenges were conceptualised through a Normalisation Process Theory (NPT) lens.Results In total, 32 symptoms, eight demographic and lifestyle features, 25 health conditions, and 20 assessment items relevant to COVID-19 were identified, with proposed corresponding SNOMED CT concepts. These data items can be adapted into a consultation template for COVID-19. Key implementation challenges include: 1) engaging with key stakeholders to achieve ’buy in’; and 2) ensuring any template is usable within practice settings.Conclusion Consultation templates for COVID-19 are needed to standardise data collection, facilitate research and learning, and potentially improve quality of care for COVID-19.